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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: 000042856 Site Location: 2115S SINCLAIR AVE Account ID: <br /> Receivedby: EE0000006 SAEED Received Date: 1/6/2017 Print Date: 1/30/2017 9:44:19AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 11$/2017 <br /> ql\ <br /> Proorarn1Element 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :SAN JOAQUIN GENERAL HOSPITAL Home Phone 209-460-6000 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of com /aint: <br /> ATRUCK STRUCK ANOTHER TRUCK AND CAUSED THE SPILL OF ABOUT 35 GALLONS DIESEL OUT OF THE SADDLE TANK OF ONE OF THESE <br /> TRUCKS.CONTRACTORS ON THEIR WAY FOR CLEAN-UP. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriff's Office <br /> - -- - - - ----------- <br /> ------------------------------- - - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 2115 S SINCLAIR RPMBA KNIGHT TRANSPORTATION <br /> STOCKTON,CA 95215 RPAddress 5601 W BUCKEYE RD <br /> Cross Sheet PHOENIX,AZ 85043 <br /> Billing Address 5601 W BUCKEYE RD <br /> Home Phone <br /> Phone Work Phone <br /> District 001 -VILLAPUDUA,CARLOS Location 01-STOCKTON <br /> APN 17315016 <br /> Date Abated 7& 'j \--k Inspector ID#: <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 --Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form 1 <br /> omplainl Reviewed tem / Updaled by. Date. -�7 <br /> 5104,rpt VJ <br />